Immediate Provisional Prosthesis
Conditions
Brief summary
This study aims to evaluate the soft tissue response and prosthetic complications associated with three different types of provisional prostheses used in immediate loading full-arch implant prosthetic treatment. The patients are randomly assigned to the three groups to compare the clinical outcomes and determine which provisional prosthesis provides better soft tissue health and fewer prosthetic complications
Interventions
patients received 3D printed provisional full arch prosthesis after implant placement
patients received bar reinforced 3D printed provisional full arch prosthesis after implant placement
patients received Milled PMMA provisional full arch prosthesis after implant placement
Sponsors
Study design
Eligibility
Inclusion criteria
\- In good general health. Controlled systemic diseases such as well-managed diabetes or hypertension. Good oral hygiene Adequate bone quality and quantity (Type I-III bone, ≥10mm height, ≥6mm width).
Exclusion criteria
* Uncontrolled systemic diseases Bone insufficiency Active infection or periodontal disease. Pregnancy. Heavy smokers (\>10 cigarettes/day). History of previous implant failure in the same site. Immunocompromised patients (e.g., HIV, recent radiation therapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| clinical evaluation of dental implant (bone Level) | 3 months | Evaluation included alveolar bone level around implant which is evaluated using periapical x-rays comparing T0 (at implant insertion) to T1 ( at one and half month) and T2 (at three months ) measuring amount of bone resorption around implant |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| modified plaque index | 3 months | the Modified Plaque Index (MPI) to assess peri-implant biofilm at four surfaces using scores from 0 (no plaque) to 3 (abundant plaque) using periodontal probe. |
| the Modified Gingival Index (MGI) | 3 months | evaluate peri-implant soft tissue inflammation, scored from 0 (healthy mucosa) to 3 (severe inflammation) |
| peri-implant probing depth (PD) | 3 months | measured with pressure-sensitive probes, where an increase over time indicates possible bone loss, with an ideal sulcus depth of less than 5 mm to allow effective oral hygiene |
Countries
Egypt